Individual
MRS. FREDA EDWINA CLARK COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
902 KIRKWOOD AVE NW, LENOIR, NC 28645-5121
(828) 754-0101
(828) 757-0402
Mailing address
902 KIRKWOOD AVE NW, LENOIR, NC 28645-5121
(828) 754-0101
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
600019
NC
363LF0000X
Family Nurse Practitioner
Primary
600019
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
600019
NP LICENSE
NC
05
—
7000897
—
NC
01
—
89770
RN LICENSE
NC
Enumeration date
04/20/2006
Last updated
03/07/2023
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